Nuance Facial Plastics is proud to offer the Obagi Blue Peel for skin rejuvenation.  It is a great medical grade procedure that improves sun damaged skin, pigment changes (such as “sun spots” or “age spots”), and fine lines and wrinkles.  Based on a classic “work horse” TCA chemical peel, treatments can be of varying depths so that the result and downtime can be tailored to each patient.

Why Blue?

One of the downfalls of the classic TCA chemical peel is that it works quickly (too quickly, even), making the depth of the peel difficult to control.  The Obagi Blue Base slows the TCA peel down, and provides a blue background so that its depth can be better controlled.  Furthermore, the blue base makes a more even distribution of the TCA possible, giving a more even peel.

How Do I Prepare for My Treatment?

Optimal treatment with the Obagi Blue Peel involves pre-treatment with a retinol or tretinoin (Retin-A) based product (our preference is Renova by Obagi), as well as Vitamin C based serums (such as the SkinCeuticals C E Ferulic or the Obagi Vitamin C Serum) and pigment control (SkinCeuticals Discoloration Defense or 4% hydroquinone pads).  This combination of products primes the skin for the peel, and makes it more evenly absorbed.
We ideally treat the skin with these products for at least one month prior to the Obagi Blue Peel, and resume use shortly after healing.  This combination of skin care, chemical peel, and skin care (again) is like a one-two punch to fight aging and sun damaged skin, and provides much better results.
Other treatments we prefer to do prior to the Blue Peel are the neuromodulators (Botox, Dysport, and Xeomin). Having less motion in treated areas as you are healing, gives a more smooth result.  This is especially true for the crow’s feet, frown lines, and forehead furrows.

What Does the Treatment Involve?

Patients arrive at the office with a friend or relative that can drive them home from their treatment, as we do use oral medications to help keep them comfortable for the duration of the treatment.  The skin is cleansed, and the Obagi Blue Peel is applied in multiple layers while monitoring the depth of penetration.  Once the desired level of treatment is reached, the procedure is stopped and the skin is lightly cleansed again.  At the end of the procedure, the skin is still colored blue (from the blue base of the peel), which remains until the peel has completed.

What is Recovery from the Obagi Blue Peel Like?

The post-procedure period is marked by peeling, followed by healing.  Peeling for a medium depth Obagi Blue Peel usually lasts for 3-4 days, and the healing, the replacement of the old skin with healthy new skin, takes 4-6 days.  There is a skin care regimen that is followed 3-4 times daily during this time period, with facial cleansers and healing balms to provide an environment conducive to skin regrowth.  Oral pain killers (narcotics) are usually not prescribed, as the recovery is not typically painful.
Though the skin surface usually heals within 10 days depending on the depth of the peel performed, the results continue to evolve for several months, as there is a lot of collagen regeneration and remodeling that takes place under the skin.  The topical medications used to pre-treat the skin are usually re-started either two days after the peel (Vitamin C based serums and pigment control products), or one week after the skin heals (tretinoin based products like Renova).
For patients that love their results and want another peel, we usually wait 6 months between treatments with the Obagi Blue Peel.  However, other treatments, such as Intense Pulsed Light (IPL) Photofacials to address rosacea and age spots, or microneedling to stimulate even more collagen production, can be done in between treatments.



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Email us: info@nuancefacialplastics.com
Call us:  704-593-6802


Nuance Facial Plastics
309 South Sharon Amity Rd.
Suite 202
Charlotte, NC 28211

“I recently had 3 procedures done and am extremely happy. He was gentle caring and i had his total attention. I look great and I feel great. I will certainly be returning for any other procedures.”

“I’ve known Dr. Kundaria for a couple of years, both as a patient and as a coworker. He is a skillful and caring surgeon that listens to his patients and delivers fantastic results. I’ve recommended him to friends/family and they have been equally impressed.”

“I just had Botox today and lip fillers done. As painless as possible and I will definitely be back!!”

“Top notch facility. Relaxing and not overwhelming. Staff is very friendly and knowledgeable. “

“I had erbium laser resurfacing done by Dr. Kundaria five days ago and I am amazed by how quickly I am healing. The whole experience has been amazing! Dr. Kundaria has an excellent bedside manner, extremely attentive to my questions and any concerns I might have. He even called several times after the procedure to check on me at home. I feel very confident in any procedure he performs on me and would recommend him to everyone!!!”

“I had such an amazing experience with Dr. Kundaria!! Him and his staff were so incredibly helpful and made me feel so comfortable from the minute I walked in. I told him what my area of concern was and we made a plan based on my condition and concerns with keeping in mind my price point. He really cares and wants the patient to walk out with the best result possible. I can’t wait to see my final result after my series of laser treatments.”

“A wonderful find. Dr. Kundaria has a top notch, professional approach. There is no pressure or excess. Cindy Roberts did my laser hair removal and she, along with Noelle, answered every question and set my mind at ease explaining everything in detail. The office is clean and simply yet professional and comforting. I highly recommend Nuance and their staff. I am actually looking forward to my next treatment and future procedures.”

“I went for a consultation with Dr. Kundaria. After some significant time, he recommended an upper blepharoplasty. I had my procedure done a few weeks ago, and I am so pleased with everything. I look and feel like a million bucks. He called me the night of my procedure. He checked up on me during the long weekend. I didn’t have any pain, and the results are phenomenal. I highly recommend him to anyone. He is just awesome.”

“I recently went to Nuance Facial Plastics where I met Dr Kundaria. I met with him one on one and he took the time with me to answer all my questions and concerns. My initial thought was for me to come back and get my treatments but he took me right away to start the process. Everything he told me that would happen, did. He is very knowledgeable with all the procedures and was very thorough during the procedure. I’m excited for my next visit and I will not go to anyone else. Best doctor I have ever interacted with.”

“I initially visited Dr. Kundaria for a consultation. Dr. Kundaria answered all my questions thoroughly and took the time to explain treatments and procedures. After a thoughtful recommendation, I decided on Dysport and a facial laser treatment that day (my first experience with both treatments). Very happy with the results! I will definitely be returning and highly recommended Nuance Facial Plastics!”